Individual
JOSEPHINE MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2884 WELLNESS AVE STE 100, ORANGE CITY, FL 32763-8427
(386) 668-2221
Mailing address
2884 WELLNESS AVE STE 100, ORANGE CITY, FL 32763-8427
(386) 668-2221
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
PA9120385
FL
363AM0700X
Medical Physician Assistant
PA9120385
FL
Other
Enumeration date
07/07/2025
Last updated
07/29/2025
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